Individual
SARA YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9873 PAUL REVERE DR, APT C, AFFTON, MO 63123-4248
(573) 768-2237
Mailing address
6421 KINGSWAY DR, AFFTON, MO 63123-1527
(573) 768-2237
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2014030369
MO
Other
Enumeration date
08/07/2015
Last updated
03/27/2020
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